Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)

6 Months Ended

Jun. 30, 2016

Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]

Property, plant and equipment and leasehold intangibles, net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital and financing leases, consisted of the following (dollars in thousands):

	June 30, 2016			December 31, 2015
Land	$	454,263		$	486,567
Buildings and improvements		5,120,742			5,260,826
Leasehold improvements		116,810			100,430
Furniture and equipment		937,658			895,447
Resident and leasehold operating intangibles		765,859			783,434
Construction in progress		83,552			138,054
Assets under capital and financing leases		2,933,330			2,909,653
		10,412,214			10,574,411
Accumulated depreciation and amortization		(2,720,736	)		(2,543,035	)
Property, plant and equipment and leasehold intangibles, net	$	7,691,478		$	8,031,376